[Hiring] Claims Specialist - Registered Nurse (Coding Specialist) @Greenlife Healthcare Staffing

Role Description

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a certified medical coder-claims specialist role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Key Responsibilities

• Review clinical documentation for accuracy and completeness
• Support coders by providing clinical insight and clarification
• Assist with audit reviews and quality improvement
• Query providers for missing or unclear clinical details
• Stay updated on coding and clinical documentation regulations

Qualifications

• Active RN license (NY)
• CPC, CCS, or clinical coding background
• 2+ years clinical experience
• Strong clinical judgment
• Excellent understanding of medical terminology
• Ability to bridge clinical and coding concepts

Requirements

• Competitive Compensation: $60.00/hour
• Comprehensive Benefits: Comprehensive benefits package
• Work Schedule: Full-time, Monday–Friday
• Professional Growth: Combine nursing knowledge with coding expertise
• Impactful Work: Enhance documentation integrity and coding accuracy